Federal Register, Volume 75, Number 219, November 15, 2010, Pages 69571-69850 Page: 69,684
viii, 69849, iii p. ; 28 cm.View a full description of this periodical.
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Federal Register/Vol. 75, No. 219/Monday, November 15, 2010/Notices
CMS to use registered nurses with
training and experience as qualified
professionals in emergency care, on a
temporary basis, be included in the list
of personnel immediately available to
provide emergency care.
* To meet the requirements at
485.620, DNVHC revised its standards
to address the number of beds and
length of stay requirements for CAHs.
* To meet the requirements at
485.623(b), DNVHC revised its
standards to include housekeeping and
preventive maintenance programs.
* To meet the requirements at
485.623(c)(3), DNVHC revised its
standards to ensure the CAH provides
an emergency fuel supply.
* To meet the requirements at
485.623(d)(7)(iv), DNVHC revised its
standards to include the reference to the
National Fire Protection Association
(NFPA) Tentative Interim Amendments
(TIA) 00-01 (101).
* To meet the requirements at
485.623(d)(7)(i) through
485.623(d)(7)(iv), DNVHC revised its
standards to ensure alcohol-based
dispensers are installed in accordance
with chapter 18.3.2.7 or chapter 19.3.2.7
of the 2000 edition of the Life Safety
Code.
* To meet the requirements at
485.635(a)(3)(i), DNVHC revised its
standards to ensure the CAH's policies
include a description of the services
provided, either directly or through an
agreement or arrangement.
* To meet the requirements at
485.635(a)(3)(iii), DNVHC revised its
standards to ensure the CAH's policies
include guidelines for healthcare
conditions that may require a patient
referral.
* To meet the requirements at
485.635(a)(4), DNVHC revised its
standards to require that a group of
professional personnel review the CAH
policies on an annual basis.
* To meet the requirements at
485.635(b)(1), DNVHC revised its
standards to ensure direct services of
the CAH include the medical history,
physical examination, specimen
collection, assessment of health status,
and treatment for a variety of medical
conditions.
* To meet the requirements at
485.635(b)(3), DNVHC revised its
standards to ensure staff and patients of
the CAH are not exposed to radiation
hazards.
* To meet the requirements at
485.635(d)(3), DNVHC revised its
standards to ensure drugs and
biologicals are administered by and
under the supervision of a registered
nurse, a doctor of medicine orosteopathy, or, where permitted, a
physician assistant, in accordance with
written and signed orders.
* To meet the requirements at
485.635(e), DNVHC revised its
standards to ensure therapy services
provided at the CAH are consistent with
the requirements at 409.17 of our
rules.
* To meet the requirements at
485.638(a)(4)(i), DNVHC revised its
standards to ensure the patient's
medical record include a brief summary
of the episode.
* To meet the requirements at
485.638(c), DNVHC revised its
standards to ensure clinical records are
retained longer than six years from the
date of the record's last entry, if such is
required by State statute, or if the
records are needed for a pending
proceeding.
* To meet the requirements at
485.639(b)(3), DNVHC revised its
standards to ensure patients receiving
surgical services at the CAH are
evaluated for proper anesthesia recovery
by a qualified practitioner.
* To meet the requirements at
485.641(b)(1), DNVHC revised its
standards to ensure all CAH services
that affect patient health and safety are
evaluated.
* To meet the requirements at
485.645(a)(2), DNVHC revised its
standards to ensure the CAH provides
no more than 25 inpatient beds.
* To meet the requirements at
485.645(d)(8), DNVHC revised its
standards to address the requirement
that if the CAH provides or obtains
dental services from an outside
resource, that service must be in
accordance with the requirements at
483.55 and 483.75(h).
* To meet the Skilled Nursing
Facilities (SNF) requirements applicable
to swing beds at 483.12(a)(1), DNVHC
revised its standards to ensure transfer
and discharge of a patient includes
transfer to a bed outside of the certified
facility.
* To meet the SNF swing bed
requirements at 483.20(b)(2), DNVHC
revised its standards to ensure the
comprehensive assessment is completed
within 14 calendar days after admission
and not less than every 12 months.
* To meet the requirements at
483.20(k)(1)(ii), DNVHC revised its
standards to ensure that the
comprehensive care plan addresses
situations where services that would be
otherwise required under 483.25 are
not provided due the patient's right to
refuse treatment under 483.10(b)(4).
* To meet the requirements at
483.20(1)(2), DNVHC revised its
standards to ensure the dischargesummary includes a final summary of
the patient's status and is available for
release to authorized persons and
agencies, with the consent of the patient
or legal representative.
* To meet the requirements at
412.25(a)(2), DNVHC revised its
standards to ensure the CAH's written
admission criteria is applied uniformly
to both Medicare and non-Medicare
patients.
* To meet the requirements at
412.25(d), DNVHC revised its
standards to ensure the CAH has only
one psychiatric or rehabilitation unit
excluded from the prospective payment
systems.
* To meet the requirements at
412.27(d)(1), DNVHC revised its
standards to ensure the CAH provides
an adequate number of qualified doctors
of medicine and osteopathy for essential
psychiatric services.
* To meet the requirements at
482.11(b)(2), DNVHC revised its
standards to require hospitals located in
States that do not provide licensure
meet the approved standards
established by that State.
* To meet the requirements at
482.12(c)(2) through 482.12(c)(4)(ii),
DNVHC revised its standards to address
who can admit patients.
* Regarding our capitalization and
capital plan requirements for health
maintenance organizations (HMOs) and
civil monetary penalties (CMP) that
operate hospitals, DNVHC revised its
standards to ensure, with respect to
such entities, the institutional plan and
budget include the following
requirements:
+ The facilities do not provide
common services at the same site.
+ The facilities are not available under
a contract of reasonable duration.
+ Full and equal medical staff
privileges in the facilities are not
available.
+ Arrangements with these facilities
are not administratively feasible.
+ The purchase of these services is
more costly than if the health
maintenance organization (HMO) or
competitive medical plan (CMP)
provided services directly.
* To meet the requirements at
485.618, DNVHC revised its standards
to clarify that emergency services must
be provided directly.
* To meet the requirements at
482.13(e)(13), DNVHC revised its
standards to address the requirement
that States are free to have restraint and
seclusion requirements by statute or
regulation that are more restrictive than
CMS standards.
* To meet the requirements at
482.21, DNVHC revised its standardsto require that hospitals maintain and
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United States. Office of the Federal Register. Federal Register, Volume 75, Number 219, November 15, 2010, Pages 69571-69850, periodical, November 15, 2010; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc52800/m1/122/: accessed April 19, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.